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NHS Resolution      Annual report and accounts 2021/22                                            19





             Operational performance -


             how we performed against


             our 2021/22 priorities


             Note that our performance with  regards to our role in maternity safety is discussed  in detail in
            the Performance analysis from page 29, and  is therefore excluded from the following summary.



               Priority 1                                     ■ Priority 2



               Deliver the  next  phase of our strategy to    H   Further develop our new indemnity
               move claims, concerns and  disputes            H   schemes (for general  practice and  Covid-19)
               into a  neutral  and  less adversarial  space   H   while  using  our expertise to support
                                                                   w ider improvements,  including  how
                                                                   healthcare-related  claims are  managed



               We have expanded the use of alternative dispute     In 2021/22 we successfully integrated claims
               resolution  initiatives across our core services. The   arising from historical  liabilities of current and
               Safety and  Learning mediation role,  launched  in   former general  practice members in  England
               April 2020,  has resulted in shared learning from   into our systems,  under the ELSGP. We have
               the majority of cases mediated. We have increased   continued to advise on additional indemnity
               our use of resolution (global settlement) meetings   arrangements in response to the pandemic,
               which  involve parties gathering to discuss, share and   including the extensions of the CNSC  and CTIS.
               agree solutions to progress a claim.  These meetings
                                                                   In February 2022 we launched our transformational
               were also convened to discuss a  number of claims
                                                                   Claims Evolution  Programme (CEP).  Through it we
               simultaneously, to save time and resources.
                                                                   aim to deliver a single,  integrated claims function
               'Stock-take' meetings involved formal meetings with
                                                                   that provides the best service we can to the NHS.
               claimant lawyers at fixed stages during a claim in a
                                                                   On  1 March 2022 we launched our new, flexible,

               collaborative approach, and  have proved successful
                                                                   regionally-focused  Legal Panel Service framework,
               in  reaching early resolution and  reducing costs.
                                                                   which promotes early investigation,  robust
               We are continuing to develop the early neutral      decision making and  proactive investigations.
               evaluation tool, which  involves appointing an
                                                                   In the interests of the wider NHS, we continue
               independent evaluator to assess cases in a non­
                                                                   to take cases to the higher courts in areas of the
               binding and non-prejudicial approach with  parties.
                                                                   law which need to be challenged.  Our Primary
               In other areas of resolution, we received 798       Care Appeals service has continued to determine
               requests for advice in 2021/22, via our Practitioner   complex and technical disputes.  During the year
               Performance Advice service, compared with 805  in   there have been two challenges, which are as
               the previous year.  There was an  increase in demand   yet undecided by the Court. The first relates to
               for our behavioural assessments (42 assessments)    payments to medical practitioners suspended
               and action  planning remediation services (44       from the medical performers list in 20151.
               cases), as well as our education programmes.        The second considers the termination of a GP
               Our Primary Care Appeals service received  128      contract without consideration of the Network
               cases in 2021/22, compared to  113 in 2020/21.      Contract Directed  Enhanced Service scheme.







             https://www.aov.uk/aovernment/publications/pavments-to-aps-suspended-from-medical-performers-list
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